Organization
FAIRFAX SMILES DENTAL CARE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADIMIR SOYFER DMD PHD JD (MANAGER)
(703) 359-9080
Entity
Organization
Contact information
Practice address
3930 PENDER DR, SUITE110, FAIRFAX, VA 22030-0985
(703) 359-9080
Mailing address
3930 PENDER DR, SUITE110, FAIRFAX, VA 22030-0985
(703) 359-9080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401410407
VA
261QD0000X
Dental Clinic/Center
Primary
0401410407
VA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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